# Senior Full Stack Software Engineer

> Lyv Health · New York, United States (Hybrid) · Full-time · Posted 2026-04-23

**Salary:** USD 175,000–200,000

**Workplace:** hybrid

## Description

### About Us

**Lyv is the infrastructure powering the next generation of wellness businesses.**

We’re building a platform that enables wellness providers to offer clinical services they currently can’t provide on their own, including blood testing, prescriptions, and peptides, all supported by a clinical team.

**Founded by Harvard Business School MBAs with prior experience** across startups, technology, and clinical operations, Lyv is **backed by top venture capital firms** and is building at a rapid pace.

We’re still early, which means every hire matters. This is a chance to join at the ground floor, work directly with the founders, and accelerate your career by being part of a fast-growing startup.

### The role

We are hiring a full-stack software engineer to **collaboratively own features end-to-end.** We need someone who thinks holistically—balancing a great user experience with long-term engineering health. You should be comfortable moving from 'here’s a fuzzy problem' to 'it’s live and people love using it.' As we scale rapidly, you'll play a key role in evolving our foundational systems to support our next phase of growth

### What you'll actually do

-   Work full-stack in our core stack of React/TypeScript and Go.
-   Leverage AI tooling throughout the SDLC. 
-   Partner with a small cross functional team across clinical operations, product, design, and sales. 
-   Contribute to our agentic fleet, giving agents the tools to resolve complex queries and automate repetitive tasks
-   Engineer for simplicity, weigh architectural tradeoffs with a heavy bias toward simplicity and minimal dependencies.

### How we work

-   Hybrid in Midtown NYC:  Meaningful time together in the office (2-3 days/week), flexibility the rest of the week.
-   Small team, real ownership: **You touch the whole stack and see the impact of your work.**
-   Pragmatic: Ship often, instrument what matters, choose boring technology for the foundation to enable the fun/cutting edge feature
-   Patients first: Every decision starts with the people using what we build.

## Requirements

-   3-7 years writing production software.

-   Solid TypeScript + React/Next.js on the front end.
-   A modern backend language in production — Go is great, but strong fluency in another typed language plus real interest in Go works too.
-   Experience designing/working with APIs (GraphQL, REST) — schemas, contracts, versioning.
-   Comfort with a cloud platform (GCP, AWS, or Azure) and configurations.
-   A track record of owning features & services end to end, not just pieces.
-   Clear writing and the ability to work closely with a small, cross-functional team.

### Nice-to-haves

-   GraphQL at real scale — schema design, performance, tooling.
-   Exposure to healthcare — FHIR, HIPAA, PHI or other regulated industries. 
-   MongoDB experience especially with vector search and indexing.
-   GCP specifics (Cloud Run, Pub/Sub, BigQuery, IAM, CloudHealthcare API).
-   Comfort with tracing, metrics, structured logs.

## Benefits

-   Competitive compensation: Strong salary + equity

-   Health benefits: Medical, dental, and vision coverage
-   Unlimited PTO
-   Commuter benefits, learning budget, product stipend
-   Mentorship: Work directly with experienced founders and our CTO who are invested in your growth
-   Career growth: Opportunity to take on more responsibility and evolve into new roles over time
-   Early-stage exposure: Be part of building a company from the ground up
-   Collaborative culture: Small, low-ego team that values ownership and doing great work

**If you’re someone who wants a front-row seat to building a company from the ground up—this is an incredible opportunity to do it.**

_Lyv is an equal opportunity employer. We are committed to building a diverse and inclusive team and welcome applicants from all backgrounds, experiences, and perspectives. We believe that diverse teams make better decisions, build better products, and create stronger companies._

## Apply

[Apply at Lyv Health](https://apply.workable.com/lyv-health/j/9B8797E997/apply)

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